Individual
RENEE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2701 LAKE ALFRED RD, WINTER HAVEN, FL 33881-1432
(863) 875-5558
Mailing address
1611 MIAMI RD, ORLANDO, FL 32825-6510
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11766
FL
Other
Enumeration date
03/16/2014
Last updated
03/16/2014
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